Individual provider Active NPI

Rebecca L Tiller, MA, LMHC

  • Mental Health Counselor
  • Spokane, WA
National Provider Identifier
1417694357
Registry record updated Jun 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LH00006116 Issued in WA
Practice address
1520 W 3Rd Ave
Spokane, WA 99201-7040
Phone
(509) 747-5615
Fax
(509) 747-5133
NPI assigned
May 12, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X LH00006116 WA Primary

Addresses

Primary practice location

1520 W 3Rd Ave
Spokane, WA 99201-7040

Mailing address

1520 W 3Rd Ave
Spokane, WA 99201-7040
Phone (509) 747-5165

Electronic endpoints 2

TypeEndpointUseAffiliation
CONNECT URL becky@northwestneurological.com Direct Northwest Neurological PLLC
CONNECT URL becky@tillercare.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

Practice roles

OrganizationSpecialtyStatusNew patients
Drg23 PastSince Jun 16, 2024 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1652313600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718236800000",
    "number": "1417694357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1520 W 3RD AVE",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992017040",
            "telephone_number": "509-747-5165",
            "fax_number": "509-747-5133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1520 W 3RD AVE",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992017040",
            "telephone_number": "509-747-5615",
            "fax_number": "509-747-5133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TILLER",
        "first_name": "REBECCA",
        "middle_name": "L",
        "credential": "MA, LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-05-12",
        "last_updated": "2024-06-13",
        "certification_date": "2024-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "LH00006116",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "becky@northwestneurological.com",
            "affiliation": "Y",
            "endpointDescription": "NWN email",
            "affiliationName": "Northwest Neurological PLLC",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1520 W 3rd Ave",
            "city": "Spokane",
            "state": "WA",
            "country_code": "US",
            "postal_code": "992017040",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "becky@tillercare.com",
            "affiliation": "N",
            "endpointDescription": "TILLERCARE EMAIL",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2203 W Houston Ave",
            "city": "Spokane",
            "state": "WA",
            "country_code": "US",
            "postal_code": "992084439",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Spokane, WA

Sources for this page

Verify at the official NPI Registry.